| NPI | 1124390133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA TURINO Owner 954-534-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261Q00000X (Licence: FL HCC9646) |
| 261Q00000X | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2021-12-09 |